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APPLICATION FOR CONNECTION WITH CITY SEWER. <br />To the City Engineer: <br />Charlottewille, Va.................. ..... 19 <br />The undersigned applies for permission to connect <br />premises No ......................................:.Street, with <br />the public sewer in............................................... <br />Street, and to do the necessary plumbing: and I hereby <br />desire a permit to be issued to.................................. <br />a regular authorized and licensed plumber, to construct <br />such sewer. I hereby . tipulate and agree that the work <br />on said sewer shall be executed in strict conformity with <br />the provisions of the laws )f the City of Charlottesville, <br />and specifications approved by the Council : and the un- <br />dersigned further agrees that all claims against the City <br />of Charlottesville for damages occasioned in any manner <br />by the putting in of said sewer sltali be waived and held <br />null and void. <br />...........................................Owner. <br />Write street names and show in pencil lines exactly <br />how the connection will be made. <br />